Trial Comparing Laparoscopic Vs Robotic-assisted Colposacropexy for Pelvic Organ Prolapse Repair
Perspective Randomized Trial Comparing Laparoscopic Vs Robotic-assisted Colposacropexy for Pelvic Organ Prolapse Repair
1 other identifier
interventional
62
1 country
1
Brief Summary
The aim of the study is to perspectively compare the anatomical and functional outcomes of Pelvic Organ Prolapse (POP) repair after Laparoscopic or Robotic-assisted Colposacropexy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
July 26, 2016
CompletedFirst Posted
Study publicly available on registry
August 2, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedAugust 4, 2016
August 1, 2016
1 year
July 26, 2016
August 3, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Anatomical outcome
POP \<2 according to POP-Q system
12 months
Secondary Outcomes (6)
Intraoperative ando post operative complications
during surgery and within 90 days after surgery
post operative pain
within 7 days after surgery
voiding and storage symptoms
2, 6, 12 months after surgery
sexual dysfunctions
2, 6, 12 months after surgery
patient satisfaction
12 months after surgery
- +1 more secondary outcomes
Study Arms (2)
Laparoscopic sacrocolpopexy
ACTIVE COMPARATORThe surgical technique will be the same between the two approaches, in this arm the approach will be laparoscopic
Robotic assisted Sacrocolpopexy
ACTIVE COMPARATORThe surgical technique will be the same between the two approaches, in this arm the approach will be robotic assisted
Interventions
Peritoneal incision from the sacral promontory to the Pouch of Douglas. After careful dissection of the inter-rectovaginal space, a two-piece Y-shaped polypropylene mesh was fixed posteriorly to the levator ani muscles using a absorbable suture. The midpoint of the mesh is anchored to the posterior wall of the vagina. The anterior portion of mesh was then introduced and fixed within the intervesico- vaginal space to the anterior/apical vaginal wall with a running suture. The tails of both meshes were fixed to the sacral promontory with a strong non-absorbable polypropylene suture. The peritoneal incision was re- approximated with a running absorbable suture
Eligibility Criteria
You may qualify if:
- Symptomatic POP \>2 stage according to POP Q system
You may not qualify if:
- Obesity
- Heart failure (NYHA III-IV)
- High stage COPD (Chronic Obstructive Pulmonary Disease)
- Patients who underwent more than 2 previous abdominal surgical procedures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Santa Maria della Misericordia Hospital- University of Perugia
Perugia, Italy, 06100, Italy
Related Publications (3)
Lee RK, Mottrie A, Payne CK, Waltregny D. A review of the current status of laparoscopic and robot-assisted sacrocolpopexy for pelvic organ prolapse. Eur Urol. 2014 Jun;65(6):1128-37. doi: 10.1016/j.eururo.2013.12.064. Epub 2014 Jan 8.
PMID: 24433811RESULTSeror J, Yates DR, Seringe E, Vaessen C, Bitker MO, Chartier-Kastler E, Roupret M. Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy. World J Urol. 2012 Jun;30(3):393-8. doi: 10.1007/s00345-011-0748-2. Epub 2011 Aug 20.
PMID: 21858540RESULTAwad N, Mustafa S, Amit A, Deutsch M, Eldor-Itskovitz J, Lowenstein L. Implementation of a new procedure: laparoscopic versus robotic sacrocolpopexy. Arch Gynecol Obstet. 2013 Jun;287(6):1181-6. doi: 10.1007/s00404-012-2691-x. Epub 2012 Dec 30.
PMID: 23274792RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elisabetta Costantini, MD
University Of Perugia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- associate professor
Study Record Dates
First Submitted
July 26, 2016
First Posted
August 2, 2016
Study Start
March 1, 2016
Primary Completion
March 1, 2017
Study Completion
March 1, 2018
Last Updated
August 4, 2016
Record last verified: 2016-08
Data Sharing
- IPD Sharing
- Will not share